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Health Inspection

Kuakini Geriatric Care, Inc

January 8, 2025 · Honolulu, HI · 347 North Kuakini Street
Citations 2
CMS Rating 1/5
Beds 187
Provider ID 125026
Healthcare Facility
Kuakini Geriatric Care, Inc
Honolulu, HI  ·  View full profile →
Inspection Summary

KUAKINI GERIATRIC CARE, INC in HONOLULU, HI — inspection on January 8, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF656
Minimal harm or and sterile saline for residents on O2. They usually change it on Fridays. At this time inquired of R89 about Few her bedside table. Sticker was dated 01/05/25 and timed at 1400 (02:00 PM). affected

During the interview surveyor and R89 did not observe any sticker with the date the O2 tubing was implemented.

Review of R89's Electronic Health Record (EHR) found she was admitted to the facility on [DATE] and her diagnoses include, but are not limited to, chronic obstructive pulmonary disease with (acute) exacerbation (persistent respiratory disease with respiratory symptoms significantly worsening); acute respiratory failure with hypoxia (not enough oxygen in the blood); acute respiratory failure with hypercapnia (too much carbon dioxide in the blood); emphysema (air sacs of the lungs are damaged), unspecified; and pulmonary fibrosis (scarring and thickening of the tissue around and between the air sacs in the lungs), unspecified.

Review of R89's Admission Minimum Data Set (MDS) with an assessment reference date of 11/05/24 found she had a Brief Interview for Mental Status (BIMS) with a score of 15 out of 15 identifying her as cognitively intact.

Review of R89's physician orders found an order for Supplemental O2 (oxygen) 2-4L/min by nasal cannula with humidifier continuous to keep sats > (greater than) 90% every shift for COPD.

On 01/06/25 requested and received oxygen use policy from facility Administrator.

On 01/08/25 reviewed facility policy Respiratory Delivery Devices dated 01/24, Purpose: To set guidelines for the use of respiratory delivery devices in the facility which include nasal cannula, non-breather [sic.] mask, oxymizer pendant and bland aerosol administration.

Scope: All qualified and trained Personal staff.

Policy: Qualified and trained personal will utilize, treat, and monitor use of these respiratory delivery devices.

Procedure: A.

Nasal Cannula (1/4 - 6 LPM) . 3.

Change nasal cannula weekly and PRN soiled.

125026

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 125026 B.

Wing 01/08/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Kuakini Geriatric Care, Inc 347 North Kuakini Street Honolulu, HI 96817

During initial tour of the kitchen found the kitchen uses a dishwasher with high temperatures to sanitize their dishware and silverware.

Review of facility log for the dishwasher stated Standards: Wash - 140-160 degrees F and Final Rinse - 180-190 degrees F. If temperature is above or below range, please inform the supervisor.

Logs of temperatures written in for 01/01/25 - 01/04/25 were all within the standard temperatures.

Observed dishwasher at 08:44 AM with dishes loaded on the conveyor belt moving through the dishwasher and kitchen staff unloading the dishes onto a rack.

During this time, the dishwasher temperature was checked by surveyor and the final rinse was at 172 degrees F.

Inquired of the FSS1 what the final rinse temperature was at, and she stated 172.

Inquired with the Food Service Worker 1 who also confirmed the temperature was at 172 degrees F.

Inquired with Food Service Worker (FSW) 2 what the final rinse has to be at for the dishes to be sanitized and she did not respond, FSW2 continued to unload the dishes that had gone through the dishwasher.

Inquired with FSS1 what the final rinse has to be at, and she told staff to stop what they were doing.

She stated the final rinse has to be 180 degrees or more.

Inquired with FSS1 if the dishwasher uses a chemical sanitizer to clean the dishes and she said it is done by heat. FSS1 showed surveyor where the dishwasher detergent was dispensed from that leads to the dishwasher and also showed the Temp Rinse All Temperature Drying Agent.

On 01/05/24 at 10:00 AM returned to the kitchen to meet with the Administrator to discuss findings about the dishwasher use.

Reviewed dishwasher detergent with Administrator who confirmed the Micro-Pak detergent by microTECH concentrates is not a sanitizer and he also confirmed the Temp Rinse All Temperature Drying Agent is not a sanitizer.

125026

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 125026 B.

Wing 01/08/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Kuakini Geriatric Care, Inc 347 North Kuakini Street Honolulu, HI 96817

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HONOLULU, HI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from KUAKINI GERIATRIC CARE, INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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